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Patient Access Coordinator - Access Operations

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Nursing
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Access Operations 710606
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129525 Requisition #
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The Patient Access Coordinator position in Access Operations at MD Anderson Cancer Center coordinates multidisciplinary care and clinical expertise in the overall planning and coordination of care for the assigned patient population, while assisting with upfront triage of these patients based on the multidisciplinary algorithm. Assists with medical and financial clearance using oncology nursing knowledge, clinical judgment and communication skills. Resolve difficulties surrounding patient access and authorization of services.

The University of Texas MD Anderson Cancer Center is ranked the nation’s top hospital for cancer care by U.S. News & World Report’s “Best Hospitals.” MD Anderson’s mission is to eliminate cancer in Texas, the nation and the world through exceptional programs that integrate patient care, research and prevention. Our mission also includes education for undergraduate and graduate students, trainees, professionals, employees and the public.

KEY FUNCTIONS:

1. Patient Access:
- Consistently and accurately utilizes medical acceptance criteria to screen and schedule appointments for new patients and/or consults in a way to ensure optimal efficiency in clinic operations.
- Supports successful implementation of department-wide new tools, support, and operational models to improve access to care and employee workflow.

2. Clinical Reviews:
- Performs clinical review of new patient referrals and internal referrals to determine medical acceptance and communicates with patients, referring professionals and MDACC physicians regarding patients who do not meet medical criteria for acceptance.

3. Oral and Written Communication:
- Uses excellent oral communication and listening skills to communicate with patient, referral source, MDACC physician and MDACC clinical staff regarding barriers to access or financial clearance.
- Clearly and professionally communicates information during all patient communication. Follows established customer service guidelines and strives to meet all reasonable patient requests.

4. Revenue Integrity:
- Collects complete and accurate financial and consent data during intake and registration process, verifies data during new patient registration to ensure compliance with required forms and consents.
- Uses technical expertise to obtain insurance information when needed and electronically verifies eligibility when available.
- Provides financial information to patients obtained during verification process by financial clearance staff, to include charge estimates, discounts, and patient financial assistance.

5. Documentation:
- Completely and accurately documents communications with patients, clinical providers and key stakeholders involved in the new patient onboarding process. Captures information using established guidelines for each area while demonstrating appropriate task prioritization and urgency.



EDUCATION:
Required: Graduation from an accredited school of Nursing.

Preferred: Bachelor of Science in Nursing (BSN) or Master of Science in Nursing (MSN).

EXPERIENCE:
Required: Two years of experience in nursing or one year related nursing experience in utilization review, insurance, case management, or medical clearance.

Preferred: Bachelor of Science in Nursing is required. Two years of experience in utilization review with external payors within a hospital or insurance setting. Two years oncology nursing experience would be a plus.

LICENSE/CERTIFICATION:
Required: Current State of Texas Professional Nursing license (RN).

Preferred: Case Management Certification, Certified Healthcare Access Manager, Oncology Certified Nurse (OCN), or other certification of specialization would be a plus.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html 


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